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新冠疫情对意大利青少年人群精神健康的影响:一项横断面队列研究。

COVID-19-related psychiatric impact on Italian adolescent population: A cross-sectional cohort study.

机构信息

Child Neurology and Psychiatry Unit, IRCCS Mondino Foundation, Pavia, Italy.

Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.

出版信息

J Community Psychol. 2021 Jul;49(5):1457-1469. doi: 10.1002/jcop.22563. Epub 2021 Mar 29.

Abstract

We investigated the prevalence rate and sociodemographic correlates of COVID-19-related posttraumatic stress disorder (PTSD), and COVID-19-related acute stress disorder (ASD) among Italian adolescents, their level of stress, perception of parental stress, and connection with mental health. Adolescents aged 12-18 years compiled an online questionnaire designed through validated diagnostic instruments. We enrolled 1262 adolescents who declared that they had not experienced any previous traumatic events. Participants were divided into two groups: 118 adolescents with psychiatric problems (APP+) and 1144 without (APP-). In total, 79.52% reported isolated COVID-19-related ASD (29.48%) or PTSD symptoms (50.04%). One adolescent met the diagnosis of COVID-19-related ASD and two met the diagnosis of COVID-19-related PTSD, according to DSM-5. Adolescents with subthreshold COVID-19-related ASD and PTSD symptoms referred the highest levels of personal stress and adolescents with psychiatric/psychological conditions experienced higher stress. Health measures should be urgently employed prioritizing psychosocial stressors among adolescent population.

摘要

我们调查了意大利青少年中 COVID-19 相关创伤后应激障碍(PTSD)和 COVID-19 相关急性应激障碍(ASD)的流行率和社会人口学相关性,以及他们的压力水平、对父母压力的感知以及与心理健康的联系。年龄在 12-18 岁的青少年填写了一份在线问卷,该问卷是通过经过验证的诊断工具设计的。我们招募了 1262 名声称自己以前没有经历过任何创伤事件的青少年。参与者被分为两组:118 名有精神问题的青少年(APP+)和 1144 名没有精神问题的青少年(APP-)。共有 79.52%的人报告了孤立的 COVID-19 相关 ASD(29.48%)或 PTSD 症状(50.04%)。根据 DSM-5,一名青少年被诊断为 COVID-19 相关 ASD,两名青少年被诊断为 COVID-19 相关 PTSD。有 COVID-19 相关 ASD 和 PTSD 症状的青少年报告了最高水平的个人压力,而有精神/心理问题的青少年则经历了更高的压力。应紧急采取卫生措施,优先考虑青少年群体中的社会心理压力源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d29/8251292/6eb18fab812a/JCOP-49-1457-g002.jpg

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